PMID: 8591088Nov 1, 1995Paper

Child abuse services at a children's hospital in Cape Town, South Africa

Child Abuse & Neglect
A C ArgentP I Lachman

Abstract

Since the establishment of a Child Abuse Management Service at the Red Cross War Memorial Children's Hospital in the early 1980s, there has been a steady increase in patient numbers. In order to assess the profile of patients, and also the allocation of staff to the service, all child abuse related patients seen at the Red Cross War Memorial Children's Hospital in Cape Town over the period of June 1989 through July 1990 were reviewed. Five hundred and three children with a median age of less than 7 years were seen. Abuse was confirmed in 389 (160 physical abuse and 229 sexual abuse). Abuse was suspected and not confirmed in 114 (41 physical and 73 sexual). Half of the patients presented to the hospital outside of normal working hours. Eighty-one percent of children less than 5 years of age were seen in the Trauma Unit by surgical residents with minimal pediatric training. One hundred and thirty four of the patients were Xhosa speaking while only one social worker and no medical staff could speak Xhosa. Pediatric residents were involved in the care of less than 2% of cases. Management of child abuse constitutes a significant commitment and appropriate staff allocation is essential. Although it is not possible for each child in w...Continue Reading

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Oct 1, 1995·Child Abuse & Neglect·A C ArgentD Bass

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Citations

Jul 1, 1996·Child Abuse & Neglect·P Lachman
May 6, 1998·Pediatric Clinics of North America·S N Forjuoh, A B Zwi
Aug 31, 2002·Child Abuse & Neglect·Peter LachmanJaap Doek
Apr 20, 2006·European Journal of Pediatrics·L Thun-Hohenstein
Sep 28, 2013·Paediatrics and International Child Health·T L JanssenA B van As
May 4, 2004·Child Abuse & Neglect·Kevin Lalor

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